Fontenot, Elissa Gloria

Fontenot, Elissa Gloria is an individual health care provider with primary practice located at 2801 Dekalb Medical Pkwy , Lithonia GA 30058-4996. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fontenot, Elissa Gloria can be contacted via phone (404) 501-8000.

Contact Information

Primary practice address
2801 Dekalb Medical Pkwy Lithonia GA 30058-4996
Phone: (404) 501-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN241909 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NCO-000003 Georgia

Profile Details

NPI number 1386229839
LBN Legal business name Fontenot, Elissa Gloria
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2021
Last updated Mar 16th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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